DR. MICHAEL BENDELE BLACKMON (M.D.) – Pulmonary Disease Physician, NPI 1043202849
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,186 PULMONARY DISEASE in TX
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Provider Addresses for DR. MICHAEL BENDELE BLACKMON (M.D.)
West Parker Road, Plano, Collin County, Texas, 75074, United States
SUITE 530
PLANO, TX 750938122
Phone: (214) 778-1075
Fax: (214) 778-1237
Type: Mailing
11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 468450025
Phone: (260) 266-5260
Fax: (260) 266-5279
Type: Location
309 Jackson St
Monroe, LA 712017407
Phone: (318) 966-4541
Fax: (318) 966-4543
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2023-05-11 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101110000615 | I | Pulmonary Disease | TX | TBD |
| I20190109000560 | I | Pulmonary Disease | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 75093)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | TX | 90670 | Pneumococcal vaccine for injection into muscle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | LA | |
| Sports Medicine, Physical Medicine And Rehabilitation | LA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA | |
| Family Practice | LA | |
| Internal Medicine | LA | |
| - | LA | |
| Nurse Practitioner | LA | |
| Hospitalist, Internal Medicine | LA | |
| Nurse Practitioner | LA |
Reviews
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